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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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domingo, 1 de mayo de 2016

Survival after In-Hospital Cardiac Arrest

Resultado de imagen de Jama Cardiology
Chan P et al. JAMA Cardiol. Published online April 06, 2016. doi:10.1001/jamacardio.2016.0073
Conclusions and Relevance 
Using survey information from acute care hospitals participating in a national quality improvement registry, we identified 3 resuscitation strategies associated with higher hospital rates of survival for patients with in-hospital cardiac arrest. These strategies can form the foundation for best practices for resuscitation care at hospitals given the high incidence and variation in survival for in-hospital cardiac arrest.
  • Monitoring for interruptions in chest compressions (adjusted odds ratio [OR] for being in a higher survival quintile category, 2.71; 95% CI, 1.24-5.93; P = .01)
  • Reviewing cardiac arrest cases monthly (adjusted OR for being in a higher survival quintile category, 8.55; 95% CI, 1.79-40.00) or quarterly (OR, 6.85; 95% CI, 1.49-31.30; P = .03)
  • Adequate resuscitation training (adjusted OR, 3.23; 95% CI, 1.21-8.33; P = .02).